ArticleBMC emergency medicine2026
"We are not allowed to give any pain relief" - Swedish mountain-rescue operations from the perspective of mountain-rescue personnel: an interview study.
Article in BMC emergency medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundRescue efforts in mountainous terrain remain a challenge for responding organizations such as police, emergency medical services and the mountain rescuers. This study aimed to shed light on Swedish mountain-rescue operations from the perspective of mountain rescuers.
methodsIndividual interviews were conducted with 21 Swedish mountain rescuers from four different counties bordering the 1,700-km long and 300-km wide Swedish/Norwegian mountain range "The Scandes." The collected data were analyzed using qualitative content analysis.
resultsThe overall theme was "A unique environment demands a tailored response." Five categories were identified: (1) major incident preparedness, (2) intra-organizational preconditions, (3) initial incident response, (4) welfare concerns on-route and on-site, and (5) a difficult injury assessment.
conclusionIntra-organizational bureaucracy may impede Swedish mountain-rescue response. Legislative issues regarding timely access to helicopters for the transportation of personnel and injured, as well as the restrictions on the administration of pain-relief drugs by licensed medical professionals, need to be addressed to decrease time to definitive treatment and improve patient comfort in future rescue efforts.
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